The Courtyard at Turning Point Scotland Housing Support Service

Transcription

1 The Courtyard at Turning Point Scotland Housing Support Service 2 West Sanqhuar Road Ayr KA8 9HP Telephone: Type of inspection: Unannounced Inspection completed on: 1 December 2016 Service provided by: Turning Point Scotland Service provider number: SP Care service number: CS

2 About the service The Courtyard at Turning Point Scotland is a combined housing support and care at home service operated by Turning Point Scotland. The service is registered to provide support to people with learning disabilities and Huntington's disease living in South Ayrshire. Support is matched to suit individual goals using person centred approaches. Support packages for people using the service range from a few hours to twenty four hour support to assist with all aspects of daily living and support people to develop new skills, be active within their communities and to gain confidence and live the lives they choose. Turning Point Scotland's mission statement states: 'Turning Point Scotland provides person centred support to adults with a range of complex needs. We learn from services and service users and seek to influence social policy'. At the time of this inspection the service was supporting fifty four service users. What people told us During this inspection we met with eight people using the service and one relative. An inspection volunteer conducted further telephone interviews with relatives. People told us that they were very happy with the quality of service being provided and gave examples of improved areas of their life since receiving the service. From the thirty care standard questionnaires that the Care Inspectorate sent to the provider to distribute to people being supported or their relatives, fifteen were returned completed. Respondents had indicated high levels of satisfaction with the service being provided and we noted their positive comments which included: "Turning Point provide an excellent service to my relative, I have nothing but praise for them". "Turning Point is a god send to my relative, he gets on well with all his support workers. I would be happy to recommend this service" "From my perspective I am very happy with the service provided by Turning Point Scotland. Senior worker communicated regularly with my sister and I to ensure that our relatives needs were being met during a difficult time, support from the staff is second to none". "I am happy with the service and support I received to move home". "My relative appears to be happy with the support he receives and the staff who provide this. When I visit he is full of chat about the staff and where he has been with them". We noted some less favourable responses in the two of the questionnaires that we received and spoke with the manager about these. During our inspection the provider had addressed one of the issues raised and we were satisfied that they were attempting to find more efficient ways of ensuring that a relative had a copy of a weekly rota. Self assessment The Care Inspectorate received a fully completed self assessment from the provider. We noted that the information within the self assessment was detailed and the provider illustrated examples of the positive difference that the service had made to the lives of people being supported. for The Courtyard at Turning Point Scotland page 2 of 6

3 The provider identified what it thought the service did well and gave examples of improvements that the service had made since the previous inspection. The views of people being supported by the service had informed the self assessment. From this inspection we graded this service as: Quality of care and support Quality of staffing Quality of management and leadership 6 - Excellent not assessed 6 - Excellent What the service does well We found detailed, person centred and outcome focused support plans directing a consistent approach from staff. These were informed and reviewed regularly by the people who use the service, their relatives and partners in health and social care. Peoples preferences, health needs, interests and routines were well documented and from speaking with staff it was evident that they were conversant with the needs of the people whom they were supporting. Careful consideration was given to the matching of staff to people being supported. We met with a supported person who showed us a PATH that they had developed. This interactive, collaborative and dynamic graphic approach helped to facilitate the sharing of their dreams for the future and helped identify interventions to achieve those dreams. We found that the approach at this service was risk enabling and where risks had been identified these were supported by well considered management plans. By supporting people to take risks some had been able to enjoy a range of new experiences. We saw that people were participating in activities that were meaningful to them and the service was good at promoting social inclusion. People were assisted to develop new networks and maintain existing supportive relationships. We saw the ways in which the service promoted people's human rights. and staff were trained to identify and protect people from harm and abuse. Involvement opportunities were varied and compatible to people's preferences and abilities, this included robust quality assurance processes such as stakeholders events and surveys. Feedback from these activities informed an action plan. The quality management processes that we looked at included a range of audits carried out by managers and support staff. These helped to drive up quality at the service. Supervision and team meetings were taking place regularly and staff we spoke with said that managers were accessible and supportive. We saw that the service continuous improvement plan had been informed by the services own quality assurance processes and from the findings of previous inspections. We saw that where areas for improvement that had been identified these had been taken forward. for The Courtyard at Turning Point Scotland page 3 of 6

4 What the service could do better We suggested that the service develop a register to record the details of section 47 certificates and their expiry dates. Maintaining such a register helps providers to ensure that certificates are up to date and valid. Section 47 of the Adults with Incapacity (Scotland) Act 2000 authorises medical treatment for people who are unable to give or refuse consent, except in emergencies. The provider followed up on this suggestion and during this inspection visit a register of individuals with section 47 certificates and those subject to guardianship orders was created. The provider should progress the roll out of one page profiles. A one page profile is a simple summary of what is important to someone and how they want to be supported. They can help providers to deliver more person centred care and support. There is scope to further develop ways to elicit impartial feedback from people receiving the service and their relatives. Peer audits for instance can provide an independent and objective assessment of quality. Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at Inspection and grading history Date Type Gradings 22 Dec 2015 Unannounced Care and support 6 - Excellent 6 - Excellent for The Courtyard at Turning Point Scotland page 4 of 6

5 Date Type Gradings 14 Jan 2015 Unannounced Care and support 6 - Excellent 5 - Very good 7 Mar 2014 Unannounced Care and support 4 - Good 4 - Good Management and leadership 4 - Good 8 Feb 2013 Unannounced Care and support 5 - Very good 5 - Very good 23 Nov 2010 Announced Care and support 5 - Very good Management and leadership 22 Jul 2009 Announced Care and support 5 - Very good 5 - Very good 20 Aug 2008 Care and support 4 - Good 3 - Adequate Management and leadership 3 - Adequate for The Courtyard at Turning Point Scotland page 5 of 6

6 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. for The Courtyard at Turning Point Scotland page 6 of 6